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MOLLY PETERSEN
NPI 1164882833
Counselor - Mental Health in Portland, OR

Active since February 24, 2016
15208 SE TIBBETTS ST, PORTLAND, OR 97236(503) 760-0959(503) 761-0041 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Molly Petersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY PETERSEN (NPI 1164882833) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1164882833
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMOLLY PETERSEN
Location Address15208 SE TIBBETTS STPortland, OR 97236-2356
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (907) 227-8937
Phone(503) 760-0959
Fax(503) 761-0041
Sole ProprietorNo
Enumeration DateFebruary 24, 2016
✔ NPI 1164882833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
15208 SE TIBBETTS ST, Portland, OR 97236
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDSAY L LIDDELL
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
KENT J CARPENTER
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
COLUMBIACARE SERVICES
Community Based Residential Treatment Facility, Mental Illness
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
JEFFERY SHANNON
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
JACQUELINE DOW
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
CHUOT MUTTHIANG
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
DURRELL J BOLDS
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959
KATHERINE HARPER
Counselor (Mental Health)
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Multnomah County (503) 760-0959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Petersen's NPI number?

The NPI number for Molly Petersen is 1164882833. It was assigned to this individual provider in the NPPES registry on February 24, 2016.

Where is Molly Petersen located?

Molly Petersen practices at 15208 SE Tibbetts St, Portland, OR 97236. The listed phone number is (503) 760-0959.

What is Molly Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Molly Petersen was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.